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From Mayo Clinic’s Transform 2010 Conference: How Sick Are Our “Healthy” School Lunches?

Mrs. QAppearing as a Second Life 3D virtual-world avatar at Mayo Clinic’s “Transform 2010” symposium (watch the video here), Mrs. Q — a teacher and the anonymous author of the blog “Fed Up With Lunch: The School Lunch Project” — told the story of how her unique health mission has come to be. She’s determined to help people understand just how sick our “healthy” school lunches really are.

Mrs. Q has sparked the interest of child health advocates around the country. Thanks to programs like First Lady Michelle Obama’s “Let’s Move Initiative” and Jamie Oliver’s “Food Revolution,” the nation is paying more attention to childhood obesity and school lunch reform.

Mrs. Q’s blog was started because of her own experiences with school meals after she ate the food prepared at school because she forgot her lunch at home. She keeps her identity a secret due to fear of losing her teaching job. Read more »

Depression In Preschoolers?

Preschooler depressionThe New York Times Magazine recently featured an article on preschooler depression. Pamela Paul wrote:

Diagnosis of any mental disorder at this young age is subject to debate. No one wants to pathologize a typical preschooler’s tantrums, mood swings and torrent of developmental stages. Grandparents are highly suspicious; parents often don’t want to know. “How many times have you heard, ‘They’ll grow out of it’ or ‘That’s just how he is’?” says Melissa Nishawala, a child psychiatrist at the New York University Child Study Center.

And some in the field have reservations, too. Classifying preschool depression as a medical disorder carries a risk of disease-mongering. “Given the influence of Big Pharma, we have to be sure that every time a child’s ice cream falls off the cone and he cries, we don’t label him depressed,” cautions Rahil Briggs, an infant-toddler psychologist at Children’s Hospital at Montefiore in New York. Though research does not support the use of antidepressants in children this young, medication of preschoolers, often off label, is on the rise. One child psychologist told me about a conference he attended where he met frustrated drug-industry representatives. “They want to give these kids medicines, but we can’t figure out the diagnoses.” As Daniel Klein warns, “Right now the problem may be underdiagnosis, but these things can flip completely.”

Reference: “Can Preschoolers Be Depressed?” (The New York Times Magazine, August 25, 2010).

*This blog post was originally published at Shrink Rap*

If This Were Your Child, What Would You Do?

Child's doctor visitMany times when faced with a clinical dilemma, a parent will turn to me and ask: “What would you do if this were your child?”

When faced with this question, I never quite know what to say. And each time I feel a little on-the-spot. But why is that? Aren’t I comfortable recommending for someone else exactly what I would do for my own child? After all, what have I got to hide?

Here’s the problem: The decisions we make as parents involve our values, tolerance of risk, level of concern and frustration, prior health experience, and religious belief — to name but a few. There’s no way to fully tease those things from the parent sitting across the room. Read more »

*This blog post was originally published at 33 Charts*

Health Tips For Back-To-School

I was lucky enough to be asked by one of the local TV stations to talk about some back-to-school issues when it comes to health. I don’t know about where you’re at, but most of the local schools around here started [yesterday, August 23rd].

Keeping up-to-date on immunizations is always important. Other important issues are getting kids back on their school sleep schedules and making sure the backpack isn’t overwhelmingly heavy.

Check out the video below. Also check out the Back To School Video 2 and the Back To School Video 3 (Yup, that’s right — three segments in one day.) If you find those helpful, I encourage you to check out my You Tube page and click on “My TV Interviews” for more health segments from local TV news. Enjoy!

*This blog post was originally published at Doctor Anonymous*

A “Future Of Health” Report For UNICEF

A report on the future of health was presented to the United Nations Children’s Fund (UNICEF) by PSFK, a trends research and innovation company. It features a wide range to topics including distant learning, diagnostics, gaming for health, offline web, DIY checkup, and many others:

(Hat Tip: iMedicalApps)

*This blog post was originally published at ScienceRoll*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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